For patients with glaucoma, Duke excels in delivering the most advanced treatment available, including canaloplasty and all other forms of laser or incisional surgery.

Duke is dedicated to excellence in diagnosis and treatment of glaucoma, a disease that causes damage to the optic nerve with resulting loss of vision, and in some cases, blindness.

Glaucoma is the most common cause of permanent blindness in the world today. There are more than two million people with glaucoma in the United States and 70 million worldwide.

In most cases, there are no symptoms other than vision loss, which frequently goes undetected until late in the disease's course.

There is no treatment for vision loss -- however, glaucoma can be successfully controlled in most cases through the use of medicines (eye drops), laser treatment, or surgery.

Consultations and treatments are offered for many types of glaucoma, including:

• Angle closure glaucoma
• Congenital and childhood glaucoma
• Exfoliation glaucoma (Pseudoexfoliation Syndrome)
• Glaucoma associated with retinal diseases
• Glaucoma secondary to eye trauma
• Juvenile onset glaucoma
• Neovascular glaucoma
• Open-angle glaucoma
• Pigment dispersion glaucoma
• Secondary glaucoma
• Uveitic glaucoma

Diagnostic services immediately available include:

• B-scan ultrasonography
• Automated perimetry (white on white and short wavelength)
• Color vision testing
• Computerized retinal thickness and nerve fiber layer analysis
• Pachymetry to measure corneal thickness, an important risk factor
• Stereo disc photography

Glaucoma laser services include:

• Cyclophotocoagulation (Diode-pumped Nd: YAG)
• Laser iridectomy
• Laser goniosynechialysis
• Laser trabeculoplasty (including argon, dye, and selective laser trabeculoplasty)

Glaucoma surgical services are performed at the Duke Eye Center in specially designed ophthalmic operating suites. Procedures performed include:

• Combined phacoemulsification (small incision cataract surgery), intraocular lens implantation, and trabeculectomy (glaucoma surgery)
• Trabeculectomy (with antifibrotic medications to improve success rate)
• Glaucoma implant surgery (tube or shunt surgery)
• Goniotomy (for specific childhood glaucomas)
• Endocyclophotocoagulation
• Complicated cataract surgery (small pupil, pseudoexfoliation, etc.)

Referring Physicians

To refer a patient, call 919-681-3937.

Physicians

Physicians offering this service include:

• Allingham, R. Rand
• Asrani, Sanjay G.
• Blumberg, Dana M.
• Challa, Pratap
• Freedman, Sharon F.
• Herndon, Leon W.
• Lee, Paul P.
• McKinnon, Stuart J.
• Moya, Frank J.
• Muir, Kelly W.
• Walsh, Molly M.
• Ziel, Carol J.

Locations

This service is available at:

• Duke Eye Center
  2351 Erwin Road, Durham, NC 27710
• Duke Eye Center at Southpoint
  6301 Herndon Road, Durham, NC 27713
• Duke Eye Center of Cary
  2000 Regency Parkway, Suite 100, Cary, NC 27518
• Duke Eye Center of Winston-Salem
  2025 Frontis Plaza Blvd, Suite 100, Winston-Salem, NC 27103
• Duke Eye of North Durham
  3116 North Duke Street, Durham, NC 27704